Active NPI
Daniel J. Solomon, MD Inc
- Sports Medicine (Orthopaedic Surgery) Physician
- San Rafael, CA
National Provider Identifier
1023243359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- A54759
- Legal business name
- DANIEL J. SOLOMON, MD INC
- Practice address
- 4000 Civic Center Dr
Suite 205
San Rafael, CA 94903-4171 - Phone
- (415) 492-1600
- Fax
- (415) 492-1688
- NPI assigned
- May 15, 2009
- Last updated
- May 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Jordan Solomon, MD
- Title
- President
- Phone
- (619) 876-1192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A54759 | CA | Primary |
Addresses
Primary practice location
4000 Civic Center Dr
Suite 205
San Rafael, CA 94903-4171
Mailing address
4000 Civic Center Dr
Suite 205
San Rafael, CA 94903-4171
Phone (415) 492-1600
National Provider Directory
National Provider DirectoryLocations
7100 Redwood Blvd
Ste 200
Novato, CA 94945
Phone (415) 492-1600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242345600000",
"number": "1023243359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 CIVIC CENTER DR",
"address_2": "SUITE 205",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949034171",
"telephone_number": "415-492-1600",
"fax_number": "415-492-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CIVIC CENTER DR",
"address_2": "SUITE 205",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949034171",
"telephone_number": "415-492-1600",
"fax_number": "415-492-1688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL J. SOLOMON, MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-15",
"last_updated": "2009-05-15",
"status": "A",
"authorized_official_last_name": "SOLOMON",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "JORDAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-876-1192",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "A54759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.